DATE: December 11, 2018
TO: Board of Supervisors
SUBMITTED BY: Dawan Utecht, Director, Department of Behavioral Health
SUBJECT: Agreement with ValueOptions of California for Administrative Services Related to the Drug Medi-Cal Organized Delivery System
RECOMMENDED ACTION(S):
TITLE
Approve and authorize the Chairman to execute an Agreement with ValueOptions of California for the provision of administrative services related to the Drug Medi-Cal Organized Delivery System (DMC - ODS) and newly mandated mental health concurrent authorizations, effective upon execution through June 30, 2020 which includes a ramp-up period through December 31, 2018 and one eighteen (18) month term, total not to exceed $4,102,000.
REPORT
Approval of the recommended action will allow the Department of Behavioral Health to provide administrative services related to the DMC - ODS and newly mandated mental health concurrent authorizations, including prior authorizations for substance use disorder (SUD) residential services, operation of an SUD 24/7 Access Line for Fresno County beneficiaries, and concurrent reviews of mental health inpatient treatment authorizations through ValueOptions of California. The services are required by the Centers for Medicare and Medicaid Services Special Terms and Conditions, California Medi-Cal 2020 Demonstration as part of the Drug Medi-Cal Organized Delivery System and the Department of Health Care Services (DHCS). The agreement maximum is $4,102,000. The services are funded by Drug Medi-Cal administrative and Mental Health Realignment funds with no increase in Net County Cost.
ALTERNATIVE ACTION(S):
If the Board does not approve the recommended action, state and federal prior authorization and SUD 24/7 Access Line services will not be available at the beginning of the DMC - ODS. The Department will be out of compliance with DHCS required concurrent reviews of mental health inpatient treatment authorizations.
FISCAL IMPACT:
There is no increase i...
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